The Jharkhand Value Added Tax Forms , 2005
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Body

FORM VAT 124

GOVERNMENT OF JHARKHAND

COMMERCIAL TAXES DEPARTMENT

APPLICATION FOR SELF-ASSESSMENT

[ See Rule 31(1)]

01.	Commercial Taxes Circle
	_______________________________
	_______________________________
	_______________________________

Date

Month

Year

02. TIN

03. Name of the dealer

_____________________________________________________________

04. Nature of Business ("Tick") whichever is applicable

Manufacturer

Miner

Trader

Works Contractor

Others

I hereby apply for Self-Assessment, for the Tax Period

05. For this purpose, I am enclosing the under-mentioned Informations / Documents / Forms

I have filed the Annual Return on _____________

(state the receipt no. & if possible please attach the copy of the Annual Return)

I have deposited all my Output Tax Payable (detail of payments enclosed)

I have deposited all my Central Sales Tax Amount (detail of payments enclosed)

I hereby enclose Form JVAT 400 (Wherever applicable)

I hereby enclose Form JVAT 403 (Wherever applicable)

I hereby enclose Form JVAT 404 (Wherever applicable)

I hereby enclose Form JVAT 405 (Wherever applicable)

I hereby enclose Form JVAT 409 (Wherever applicable)

I hereby enclose Form JVAT 505 (Wherever applicable)

I hereby enclose Form JVAT 506 (Wherever applicable)

I hereby enclose Form JVAT 507 (Wherever applicable)

I hereby enclose the statement of forms under the Central Sales Tax Act, i.e. Form 'C', Form 'D', Form 'F', Form 'E-I', Form 'E-II', Form 'H', Form 'I' (wherever applicable)

I hereby enclose the Profit & Loss Account / Trading Account / Manufacturing Account (wherever applicable)

I hereby enclose the copy of the Credit/Debit Notes (see Rule 30)

I hereby enclose the copy of the Credit Notes (see Rule 30(3)(c))

I hereby enclose the statement of Purchases / Arrivals from outside the State under CST Act (wherever applicable)

I hereby enclose the statement of Imports u/s 5(2) of the CST Act.

I hereby enclose the statement of Exports u/s 5(1) and 5(3) of the CST Act.

I hereby enclose the statement of Purchases from the registered dealers / unregistered dealers or from any other persons of the State along with the details of Tax Invoices received.

I hereby enclose the statement of sales to the registered dealers / unregistered dealers / to any other person of the State along with the details of Tax Invoices issued.

I hereby enclose the statement of the charges received towards non-taxable Heads

(For works contractors only : Please tick the appropriate or applicable)

I hereby enclose the statement the value of goods transferred in property.

(For works contractors only : Please tick the appropriate or applicable)

(Please tick the appropriate)

Dated....................................	Signature of the dealers..............
	Status...................................
	Full name..............................

OFFICE USE ONLY

Date of Application received

Check Arrears of VAT Payments ...........................................................................

Confirmation from Returns filed ... Tax Arrears, if any............................................

All Monthly Returns filed and Output Tax Paid (Please tick the appropriate or applicable)

Annual Return Filed (Please tick the appropriate or applicable)

All the statements showing therein are attached and are in order.	YES/NO
If any extra tax / interest / penalty payable ... such notice is issued	YES/NO
All amount due / paid	YES/NO

Prescribed Authority

Circle/Sub-circle